Wopɛ sɛ wuhu nea wo koma bɔ yɛ pɛpɛɛpɛ? Afei momma yɛnka Holter Monitor no ho asɛm!

So ɛtɔ mmere bi a wote biribi a ɛyɛ nwonwa te sɛ wo koko mu dede bi nka? Anaasɛ mpofirim ara wo tirim yɛ wo yaw anaasɛ ɛyɛ den ma wo sɛ wobɛhome? Ebia wo duruyɛfo aka akyerɛ wo sɛ "fa Holter Monitor hyɛ wo ho." Enti, dɛn ne Holter monitor yi? Momma yɛnka ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so. Biribiara nni hɔ a ɛsɛ sɛ wosuro, ɛyɛ mmerɛw yiye.

Dɛn ne Holter Monitor yi?

Sɛ yɛbɛka no tiawa a, Holter monitor yɛ EKG afiri ketewa bi a wubetumi ahyɛ na wode akɔ baabiara. Mpɛn pii no, EKG a yenya wɔ ayaresabea no hwɛ wo koma dwumadi saa bere no nkutoo. Nanso Holter monitor kyerɛw wo koma bɔ ne wo koma bɔ bere nyinaa nnɔnhwerew 24 anaa 48. Eyi ma wo duruyɛfo no te sɛnea wo koma mu anyinam ahoɔden dwumadi sesa bere a wokɔ wo da biara da dwumadi ahorow mu no ase yiye.

Fa no sɛ ɛte sɛ kaad ketewaa bi a wɔde di agoru, afiri ketewaa bi a emu yɛ hare a wɔde batere na ɛyɛ adwuma. Ɛwɔ waya bi a wɔde abata ho ne electrode ahorow a ɛtoatoa so , te sɛ sticker nketewa, a wode bata wo honam ani. Wubetumi ahyɛ saa monitor yi wɔ wo ntade ase na woayɛ wo da biara da dwumadi ahorow sɛnea wotaa yɛ.

Wɔde Oduruyɛfo Norman J. Holter a ɔyɛɛ no ​​wɔ 1950 mfe no mu no din too saa mfiri ketewa yi "Holter".

Dɛn na Holter monitor yɛ?

Sɛnea yɛadi kan aka no, Holter monitor boaboa wo koma no anyinam ahoɔden dwumadi ho nsɛm ano, te sɛ EKG (electrocardiogram) nhwehwɛmu a wɔyɛ no daa no ara pɛ. Nsonsonoe no ne sɛ wɔyɛ EKG simma kakraa bi pɛ, nanso wɔhyɛ Holter monitor da koro anaa nnanu, enti ɛda adi kɛse sɛ ɛbɛfa koma no dwumadi biara a ɛnteɛ.

Sɛ EKG a wɔyɛ no daa no mma nea efi mu ba a emu da hɔ a, Holter monitor betumi aboa ma wɔahu nea ɛde tebea horow te sɛ:

• Koma mu nnyigyei a ɛnyɛ den, kyerɛ sɛ , koma a ɛbɔ denneennen .
• Koma a ɛbɔ yɛ wo koma a ɛbɔ mpofirim, a ɛkyerɛ sɛ wo koma bɔ ntɛmntɛm anaasɛ wo koko yɛ wo yaw.
• Adwene a ɛyɛ basaa a wontumi nkyerɛkyerɛ mu.

Bio nso, wo duruyɛfo betumi de Holter monitor yi adi dwuma de ahwɛ sɛnea w’aduru no tu mpɔn sɛ worenom nnuru a wɔde sa komayare bi a.

Ɔkwan bɛn so na Holter monitor no yɛ adwuma?

Ɛyɛ mmerɛw yiye. Electrodes (ɛte sɛ sticker nketewa) a wɔde gu wo moma so no hu anyinam ahoɔden a ɛwɔ wo koma mu. Afei wɔde saa nsɛm no fa nhama nketewa so kɔ Holter monitor a wode hyɛ wo kotoku mu anaa wo nipadua so baabi foforo no so. Saa monitor yi kyerɛw saa data no nyinaa ma wɔsan hwɛ mu akyiri yi.

Ade a ɛho hia sen biara ne sɛ oduruyɛfo renhwɛ monitor no so bere nyinaa bere a wohyɛ no. Wɔbɛsan agye data no na wɔayɛ mu nhwehwɛmu bere a woasan de monitor no aba akyi nkutoo.

Wobɛyɛ dɛn asiesie wo ho ansa na woahyɛ Holter monitor?

Nokwarem no, enhia sɛ woyɛ biribi titiriw biara na woahyɛ Holter monitor. Nanso ade biako wɔ hɔ. Esiane sɛ ɛnyɛ papa sɛ wobɛma monitor no ayɛ nsu bere a wode ahyɛ mu awie nti, ɛyɛ papa sɛ wobɛguare yiye na woahohoro wo nipadua ho ansa na wode ahyɛ. Afei sɛ worentumi nguare da koro anaa nnanu a, ɛrenyɛ ɔhaw kɛse.

Dɛn na wubetumi ahwɛ kwan bere a wohyɛ Holter monitor no?

Oduruyɛfo anaa obi a wɔatete no wɔ saa adwuma yi mu de saa monitor yi bɛbata wo ho. Ɛno akyi no, wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no. Nea ɛba ni:

• Wɔde electrode bɛhyɛ wo moma so: Mpɛn pii no, anyɛ yiye koraa no, wɔde electrode abien bɛhyɛ wo moma so. Ɛtɔ da bi a, ebia ɛho behia sɛ woyiyi wo moma so nhwi no bi na ama woahwɛ ahu sɛ electrode ahorow no abata ho yiye. Mma ɛnhaw wo, eyi yɛ sɛnea ɛbɛyɛ a wobɛhwɛ ahu sɛ electrode ahorow no rekyerɛw koma no nsɛnkyerɛnne yiye ara kwa.
• Ɛboa wo ma wode monitor no hyɛ: Ɛde nhama bata monitor no ho wɔ electrode ahorow no ho na ɛkyerɛkyerɛ sɛnea wobɛhwɛ so no mu.
• Hwehwɛ baabi a wode monitor no besie: Wubetumi de saa koma monitor yi ahyɛ kotoku mu, anaasɛ wode abɔ wo kɔn, w’asen, anaa wo mmati so.
• Ɛkyerɛ wo sɛnea wobɛkyerɛw wo dwumadi ne wo yare no ho sɛnkyerɛnne: Eyi ho hia yiye. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ tiaa, koma a ɛbɔ huruw anaasɛ ɛnyɛ pɛpɛɛpɛ, anaasɛ wo koko mu yaw , ɛsɛ sɛ wokyerɛw bere a esii ne nea na woreyɛ saa bere no.
• Fa no sɛ wode ntadehoro bi rekɔ abansoro so bɛyɛ anɔpa 10:30 na wotee koko mu yaw. Sɛ wokyerɛw too hɔ a, oduruyɛfo no betumi ahu nea asi wɔ wo EKG so saa bere no. Saa da biara da nsɛm a wɔakyerɛw yi som bo yiye ma sɛnea wohu yare no pɛpɛɛpɛ.

Nneɛma bɛn na ɛnsɛ sɛ woyɛ bere a wohyɛ Holter monitor?

Wubetumi ayɛ wo dwumadi dodow no ara, a nna ka ho, bere a wohyɛ Holter monitor no. Nanso, ɛsɛ sɛ wotwe wo ho fi saa nneɛma yi ho bere a wohyɛ saa koma a wɔde hwɛ nneɛma so yi:

• Aguare, aguare, anaa asuguare.
• Wɔreyɛ X-ray nhwehwɛmu.
• Sɛ wobɛkɔ mmeae a ɛbɛn mmeae a ahoɔden a ɛwɔ ahoɔden kɛse, magnet, anaa mfiri a wɔde hwehwɛ dade.
• Sɛ wɔde anyinam ahoɔden mfiri bi di dwuma (sɛ nhwɛso no, microwave, anyinam ahoɔden brɔs, ahama, anaa anyinam ahoɔden ntama) a, ebetumi asiw monitor no adwumayɛ esiane anyinam ahoɔden asorɔkye nti.

Dɛn na ɛba bere a wode Holter monitor no adi dwuma awie no?

Bere a nnɔnhwerew 24 anaa 48 a wɔde maa wo no aba awiei akyi no:

• Ɛsɛ sɛ wosan kɔ akyi na wode monitor no ma. Afei wobeyi electrode ahorow no na wɔasan de ahyɛ mu.
• Afei, oduruyɛfo anaa mfiridwumayɛfo bi bɛboaboa wo EKG kyerɛwtohɔ ne nsɛm a woakyerɛw nyinaa ano, ahwehwɛ mu, na ɔde amanneɛbɔ akɔma wo koma ho ɔyaresafo .

Kae sɛ oduruyɛfo nkɔ so nhwɛ sɛnea wo koma yɛ adwuma bere a wɔreyɛ nhwehwɛmu yi. Enti sɛ wuhu sɛnkyerɛnne biara a ɛnyɛ wo dɛ bere a wohyɛ monitor no anaasɛ ɛno akyi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

So asiane anaa nsunsuanso bɔne bi wɔ Holter monitor no mu?

Asiane anaa ɛyaw kɛse biara nni Holter monitor a wɔhyɛ mu. Ebia nnipa binom honam ani ayɛ wɔn yaw kakra anaasɛ ɛbɛyɛ kɔkɔɔ esiane teyp anaa nneɛma a wɔde nkata so a wɔde bata electrode ahorow no ho nti. Sɛ wo ho nyɛ wo hyew wɔ teyp anaa ade a wɔde nkata so biara ho a, hwɛ hu sɛ wubedi kan aka akyerɛ wo duruyɛfo.

Nea afi mu aba no te dɛn? Dɛn na wɔka kyerɛ yɛn?

Nea efi Holter monitor mu ba no betumi akyerɛ sɛ wowɔ koma a ɛbɔ a ɛnkɔ so daa, anaasɛ koma a ɛnyɛ den. Nhwɛsoɔ:

• Atrial fibrillation (tebea a ɛma koma no atifi dan no bɔ wɔ ɔkwan a ɛnteɛ so) .
• Bradycardia (koma a ɛbɔ brɛoo) .
• Tachycardia (koma a ɛbɔ kɛse) .
• Ventricular contractions (PVCs) (a ɛbɔ ntɛm fi koma no ase adan mu) .

Holter monitor no ho wɔ mfasoɔ kɛseɛ wɔ tebea te sɛ yei a wɔbɛhunu mu.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Mpɛn pii no, wo duruyɛfo bɛma woahu nea ebefi mu aba wɔ dapɛn biako anaa abien akyi wɔ nhwehwɛmu no akyi. Ɛho behia sɛ wunya abotare, efisɛ egye bere kakra ansa na woatumi ahwehwɛ nsɛm a wɔde ama no mu.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?

Sɛ nneɛma bi a ɛnteɛ wɔ nea efi mu ba no mu a, wo duruyɛfo no ne wo bɛkasa na wasi nea ɔbɛyɛ akyi no ho gyinae. Ebia eyi bi ne:

• Koma mu nhwehwɛmu pii a wɔbɛyɛ.
• Koma mu nnuru a wofi ase.
• Pacemaker (afiri ketewaa bi a ɛboa ma koma bɔ daa) a wɔde bɛhyɛ nipadua mu.
• Cardioversion ( adeyɛ a wɔde ma koma no san yɛ adwuma sɛnea ɛsɛ).
• Ablation ( ayaresa a wɔde ahoɔden a ɛyɛ hyew anaa awɔw di dwuma de yɛ akuru ketewaa bi wɔ koma no mu de sa koma no nnyigyei a ɛnteɛ).

Nsuro, biribiara a wobɛyɛ no yɛ w’ankasa wo yiyedi.

Bere bɛn na ɛsɛ sɛ mefrɛ me duruyɛfo?

Sɛ wunya nea edidi so yi mu biara bere a wohyɛ Holter monitor a, frɛ wo duruyɛfo:

• Sɛ ɔhaw bi wɔ Holter monitor a wode redi dwuma no ho a.
• Sɛ wowɔ asɛmmisa bi fa sɛnea wode monitor no bedi dwuma ho a.
• Sɛ electrode bi ba a.
• Sɛ wunya ɔhaw anaa sɛnkyerɛnne biara a ɛhaw adwene a ɛfa wo koma ho a.

Bio nso, eyi nyɛ sɔhwɛ a ɛhwehwɛ sɛ wɔkɔ so hwɛ aduruyɛ mu. Enti, sɛ wuhu sɛnkyerɛnne biara a, hwehwɛ aduruyɛfo afotu.

So Holter monitor betumi ahu dadwen?

Yiw, ɛtɔ mmere bi a dadwen betumi ama wo koma atɔ wo yam. Sɛ ɛba saa a, Holter monitor no betumi akyere agu hama so. Nanso sɛ wubehu nea ɛde koma a ɛbɔ no bae a, ɛsɛ sɛ wo duruyɛfo no hwehwɛ amanneɛbɔ no mu yiye. Afei nso, ɛho hia yiye sɛ wokyerɛw nea na woreyɛ ne nea wotee nka bere a wo koma bɔɔ wo no wɔ wo da biara da nsɛm nhoma mu.

Nsonsonoe bɛn na ɛwɔ EKG ne Holter monitor ntam?

Sɛ yɛbɛka no tiawa a, EKG susuw wo koma dwumadi bere a wɔayɛ sɔhwɛ no nkutoo. Ɛne sɛ, ɛte sɛ nea woretwa mfonini biako. Nanso wo koma nnyigyei ne wo sɛnkyerɛnne betumi asesa da mũ no nyinaa.

Wo duruyɛfo pɛ sɛ ohu sɛnea wo koma mu nnyigyei sesa bere a woreyɛ wo da biara da dwumadi ahorow no. Holter monitor ma wo duruyɛfo nya wo koma a ɛbɔ no ho mfonini a edi mũ, te sɛ video a wɔde da koro anaa nnanu ayɛ.

Nsonsonoe bɛn na ɛwɔ Holter monitor ne Event Monitor ntam?

Nneɛma abien no betumi ayɛ basaa kakra. Holter monitor bi kyerɛw wo koma no nnyigyei bere nyinaa nnɔnhwerew 24 anaa 48. Ɛno kyerɛ sɛ wɔkyerɛw sɛ ebia wowɔ sɛnkyerɛnne bi anaasɛ wunni bi.

Nanso, event monitor nkyerɛw nsɛm a ɛkɔ so daa. Ɛkyerɛw bere a wote nka sɛ yare no ho sɛnkyerɛnne bi nkutoo, sɛ woma monitor no yɛ adwuma a. Nneɛma bi wɔ hɔ a wɔde hwɛ nsɛm a esisi a wɔkyerɛw bere a koma bɔ a ɛnyɛ ne kwan so no kyerɛw wɔn ho. Nanso wɔde di dwuma titiriw bere a yare no ho sɛnkyerɛnne ahorow aba no.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ebetumi ayɛ abasamtu sɛ wunnim nea ɛde wo moma so yɛ wo yaw, wo koma bɔ, anaasɛ wo ti so yɛ wo yaw ankasa. Holter monitor yɛ adwinnade a ɛsom bo a ebetumi aboa wo ma woahu nea ɛde ba.

Ɛwom sɛ ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra sɛ wobɛhyɛ eyi nna kakraa bi de, nanso ɛnyɛ yaw na ehia sɛ wohyɛ da koro anaa nnanu pɛ. Ɛno akyi no, woabɛn anammɔn biako sɛ wubehu wo tebea no pɛpɛɛpɛ na wo ho atɔ wo. Enti, sɛ wo duruyɛfo kamfo kyerɛ a, nsuro sɛ wobɛyɛ nhwehwɛmu yi.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Obetumi ayi adwenem naayɛ biara a ebia wowɔ no afi hɔ.

` Holter monitor, komayare, EKG, koma bɔ, arrhythmia, koko mu yaw, adwenemhaw